Evidence summary of surgical site infection prevention in adult inpatients based on guidelines and clini-cal decision making
10.3969/j.issn.1671-332X.2024.02.017
- VernacularTitle:基于指南和临床决策的成年住院患者手术部位感染预防的证据分析
- Author:
Qingmei LEI
1
;
Lishan OU
;
Donglan LING
;
Qiuchen CHENG
;
Shizhen ZHANG
;
Zhaotao WANG
;
Hongbo YAN
Author Information
1. 广州医科大学附属第二医院 广东广州 510260
- Keywords:
Surgical site infection;
Prevention;
Evidence summary;
Evidence-based nursing
- From:
Modern Hospital
2024;24(2):222-226
- CountryChina
- Language:Chinese
-
Abstract:
Objective To provide evidence-based references for the prevention of surgical site infection(SSI)by sum-marizing the best evidence for the prevention of SSI in adult inpatients.Methods The'6S'evidence resource pyramid model was used to systematically search the related evidence in domestic and foreign databases,guideline websites,and academic socie-ty websites from the inception of the database to September 30,2023.Four researchers evaluated the quality of the included guidelines,and two researchers independently evaluated the quality of other types of literature and rated the level of evidence.Results A total of 12 articles were included,including 6 clinical decision making and 6 clinical guidelines.Thirty best items of the evidence were summarized from 7 aspects:diagnosis,clinical symptoms,influencing factors,patient prevention strategies,preventive strategies for medical staff,intraoperative and postoperative treatment,and consultation and education.Conclusion Clinical staff should develop a standardized management plan for infection prevention based on corresponding evidence to reduce the incidence of SSI instead of taking a single measurement.Moreover,they need to formulate a standardized work process for preventing SSI based on the clinical practice and patients'preference.
